Sonke siyazi isimo uma izifiso zethu zingavumelani namakhono ethu. Ngalokhu kulula ukubuyisana, uma kungumbuzo wezinto ezibonakalayo. Kodwa uma kuziwa ekuzalweni, izinkinga zokukhulelwa zibangele ukukhathazeka okujulile kwengqondo, futhi ukuxilongwa "kokungabi nalutho" kuzwakale njengomusho. Ngokuvamile, bobabili abesilisa nabesifazane bahlukumezeka ngezinga lesibili. Yini elandela lawa mazwi? Kuyini ukungabi nabantwana? Ingabe ukungabi nabantwana 2 degrees yokwelashwa?
Ukuhlukaniswa kokungazalwa
Odokotela bahlukanisa ukungabi nabantwana ekufundeni okuyisisekelo nesekondari, okuphelele kanye nesihlobo. I-degree yokungenzi lutho (okuyisisekelo) kusho ukuthi indoda noma owesifazane akakaze akwazi ukukhulelwa umntwana, aphile impilo ejwayelekile yocansi nabalingani abahlukene. Kuthiwa ukungabi nalutho kwama-degrees angu-2 (okuyisithupha) kuthiwa, ngesikhathi sokuphila komfazi okungenani kanye lapho bekhulelwe (akukhathaleki uma ephela ngokubeletha noma cha), futhi lo muntu kungenzeka okungenani uma ekhulelwa ingane. Ngesikhathi esifanayo, banenkinga yokukhulelwe. Ngokuphambene nombono ophakanyisiwe womqondo wokuthi "ukungabi namandla 3 (4 nezinye) degree" emithi akukhona.
Ukuxilongwa "kokungabi nalutho ngokuphelele" kwenziwa uma isiguli sinesifo sokubeletha noma esitholakale singavumelani nokukhulelwa, isibonelo, ukungabi khona kwezitho zobulili. Ngokwehluleka kokuzalwa, izimbangela zezinkinga zokukhulelwa zilele ezifweni zesistimu yokuzala, noma ekungabikho komuntu osebenza naye.
Yini eholela ekusaneni?
Isizathu esivame kakhulu sokungabi nabantwana okungama-2 degrees, kokubili kwabesifazane namadoda, kukhona ukuphazamiseka kwe-hormonal. Ngesikhathi esifanayo, inqubo yokuvuthwa kwamangqamuzana ezocansi iphazanyiswa, engahambisani nokukhulelwa nokukhulelwa, izinguquko zenzeka ezithombeni zokuzala. Ukungabi nalutho kanye ne-thyroid nakho kuhlobene, noma kunalokho, ukuphazanyiswa emsebenzini wakhe: kokubili i-hyper- and hypothyroidism yegciwane le-thyroid iholela ekuhlulekeni kwe-hormone.
Kulaba besifazane, ukukhubazeka okwesibili kuvame ukuvela emva kokukhipha isisu nokukhishwa okuhambisanayo. Ukuqedwa kokukhulelwa kokukhulelwa ezimweni eziningi kuholela ekuthuthukiseni izifo ezivuthayo zesisu kanye nezibopho zalo, kuhlanganise ne- endometriosis futhi, ekugcineni, ukungabi namandla.
Ezinye izimbangela zokungabikho kwamantombazane wezinga lesibili zingaba:
- ukwehla kokuzala ngenxa yobudala (emva kweminyaka engama-30);
- ukukhulelwa kwe-ectopic nokuhlukumeza;
- ukuvinjelwa kwamatayipi okulala;
- uterine uterine;
- i-polycystic ovary;
- odlule ukusebenza okukhulu;
- ukuphuma esikhathini sokuqala, ukungondleki kahle kwe-ovarian;
- izifo ezizimele;
- ukucindezeleka nokungondleki.
Ukungabi namaphesenti angama-2 emadodeni kwenzeka ngenxa yezizathu ezilandelayo:
- ukuhlukunyezwa nezifo (kuhlanganise nokutheleleka) kwezitho zangasese;
- ukukhishwa kwamakhemikhali noma ama-radiation;
- ukuthatha imithi ethile (ama-antibiotics, ama-hormone);
- imikhuba emibi (ukubhema, utshwala, izidakamizwa);
- izimo zokusebenza ezilimazayo, izimo ezimbi zemvelo;
- ukuphila okungavamile, ukungondleki;
- ukucindezeleka, ukucindezeleka.
Ukwelashwa kwesibili - indlela yokuphatha?
Ngaphambi kokuqala ukwelashwa kokubeletha okungesibili, kubalulekile ukusekela imbangela yalesi sifo. Ukuze wenze lokhu, bobabili abashadile bahlola futhi bahlolwa. Ngemva kokuthola ulwazi mayelana nesimo sangemuva se-hormonal kanye nesistimu yokuzala yeziguli, udokotela ubeka ukwelashwa ngabanye. Bobabili abashadile banconywa ukuba balinganise ukudla, umsebenzi nokuphumula, bagweme ukucindezeleka kwengqondo, bayeke imikhuba emibi. Ngokweqile kwamakhomikhali udokotela uzobhala amalungiselelo akhethekile okumele asebenze ngokujwayelekile emlandweni we-hormonal.
Njengoba kunezimo ezimbi ze-spermogram, ukwelashwa kwesidoda kwabesifazane, ukuvinjelwa kwamatayipi okuhlukumeza kugxila ekusungulweni (ukufakwa kwesisu ngqo esibelethweni), IVF, ICSI. Futhi ngezifo ezinobungozi obukhulu kanye nokukhathala kwesitoreji se-ovari, odokotela basikisela ukuthi basebenzise izinhlelo zokunikela.